Artificial Intelligence (AI) is rapidly transforming orthopaedic research, but inconsistent reporting standards often limit the reliability and clinical impact of these studies. To address this gap, the STORM-AI (Standardised Transparent Orthopaedic Reporting and Modelling-AI) guidelines were developed by the ESSKA AI Working Group, bringing together international experts through a rigorous, multi-step consensus process.

Building on existing AI reporting frameworks, the group created a comprehensive checklist and an accompanying Explanation and Elaboration document tailored specifically to orthopaedics. These guidelines provide clear recommendations across all stages of research—from study design and data description to model development, validation, and clinical integration. Particular emphasis is placed on transparency, robust validation methods, precise outcome definitions, and thorough error analysis.

STORM-AI represents a major step forward in improving the quality, reproducibility, and clinical relevance of AI research in orthopaedics. Its adoption is expected to strengthen the evidence base and accelerate the safe, effective integration of AI into everyday clinical practice—ultimately benefiting both clinicians and patients.